Curbside Consultation of the ACL 49 Clinical Question

by Bach, Bernard; Verma, Nikhil

• ISBN13: 9781556428258
• ISBN10: 1556428251
• Edition: 1st
• Format: Paperback
• Copyright: 2008-02-15
• Publisher: Slack Incorporated

Summary

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional ACL references? Are you seeking brief, evidence-based advice for complicated cases or complications?Curbside Consultation of the ACL: 49 Clinical Questionsprovides quick answers to the many questions most commonly posed during a "curbside consultation" between surgical colleagues. Drs. Bernard R. Bach, Jr. and Nikhil N. Verma have designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with ACL management. The unique Q&A format provides quick access to current information related to ACL management with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the management of ACL issues. Curbside Consultation of the ACL: 49 Clinical Questionsprovides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedic surgeons, orthopedic residents and medical students will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: bull; How do you evaluate the failed ACL reconstruction? bull; What tricks do you have to avoid creation of a "vertical" tunnel when drilling a transtibial tunnel? bull; How do you evaluate, manage, and prevent motion problems? bull; How do you determine tibial tunnel position to optimize graft length and femoral tunnel position when performing an endoscopic technique? bull; How do you manage the expanded femoral or tibial tunnel in a failed ACL patient? bull; How do you manage the adolescent with open growth plates who has sustained an ACL injury?

Author Biography

Bernard R. Bach, Jr., MD, graduated form Harvard College in 1975, the University of Cincinnati College of Medicine in 1979, and obtained general surgery and orthopaedic training at the New England Deaconess Hospital (1979 to 1981) and Combined Harvard Orthopedic Residency program (1981 to 1985) respectively. He completed a Sports Medicine and Shoulder Fellowship at the Hospital for Special Surgery in 1986. At RUSH University Medical Center in Chicago, Bach is currently the Claude N. Lambert-Helen S. Thomson Professor of Orthopaedic Surgery, the director of the Division of Sports Medicine, and has been the RUSH Sports Medicine Fellowship director since 1988. Dr. Bach has published over 400 peer-reviewed manuscripts, abstracts, books, chapters, guest edited monographs, and internet publications. He has served as president of the Harvard Quigley Sports Medicine Society (2003), the Herodicus Society (2005 to 2006), and the American Orthopedic Society for Sports Medicine (2007 to 2008). He is a member of the Illinois Athletic Trainers’ Hall of Fame and has served on the board of directors for the Illinois Special Olympics, the Orthopedic Research and Education Foundation, and the American Orthopedic Society for Sports Medicine. Dr. Bach assists with the care of professional athletes as one of the team physicians for the Chicago White Sox and Chicago Bulls. Nikhil N. Verma, MD, graduated form the University of Michigan in 1994, the University of Pennsylvania School of Medicine in 1998, and completed his surgical internship and orthopedic residency at Rush University Medical Center (1998 to 2003). He completed a Sports Medicine and Shoulder Fellowship at the Hospital for Special Surgery in 2004 before returning to join the staff of the Department of Orthopedics, Section of Sports Medicine, at Rush University Medical Center as an assistant professor. Dr. Verma currently serves as a member of the American Orthopaedic Society for Sports Medicine self-assessment committee and is a member of the editorial board for the Arthroscopy journal. He has coauthored multiple technique and review articles, book chapters, and peer-reviewed manuscripts in the field of sports medicine. Additionally, he has served as a faculty member for both national and international courses in arthroscopic surgery of the shoulder, elbow, and knee. He serves as head orthopedic team physician for the Chicago Bandits and Chicago Force as well as multiple high school teams in the Chicago metro area. Dr. Verma assists with the care of professional athletes as one of the team physicians for the Chicago White Sox and Chicago Bulls.

Table of Contents

Dedication

Acknowledgments

About the Editors

Contributing Authors

Preface

Foreword

Preoperative Questions

What Are the Indications for Surgical or Nonsurgical Treatment?

What Are the Radiographic, Magnetic Resonance, and KT-1000 Characteristics of an ACL-Injured Knee?

How Do You Manage a Combined ACL/MCL Injury?

How Do You Manage a Combined ACL/LCL Injury?

What Determines Which Graft You Recommend for ACL Surgery?

When Would You Use Patellar Tendon Autograft as Your Main Graft Selection?

When Would You Use Hamstring Autograft as Your Main Graft Source?

When Do You Use Allograft Tissues for Primary ACL Surgery?

After an Acute ACL Injury in a Competitive Athlete, How Do You Manage the Patient in Preparation for Surgery?

What Options Are Available in the Patient Who Has a Tibial Eminence Fracture Avulsion (Skeletally Mature, Middle-Aged Patient)

Do You Prefer Endoscopic or 2-Incision Technique and Why?

How Do You Examine the Knee for Posterolateral Corner Injury Combined With ACL Injury?

Intraoperative Questions

What Do You Do if You Drop the Graft on the Floor?

How Do You Manage a Posterior Wall Blowout Created Inadvertently at the Time of Surgery?

How Do You Manage the Hamstring Autograft That Is Prematurely Amputated During Graft Harvest?

How Would You Manage the Situation of Graft Amputation During Interference Screw Placement With a Patellar Tendon Graft?

What Tricks Do You Have to Avoid Creation of a ldquo;Verticalrdquo; Tunnel When Drilling a Transtibial Tunnel?

What Options Do You Have and How Do You Manage a Construct Mismatch With the Endoscopic Technique?

What Is Your Preferred Fixation Method for Soft-Tissue Grafts on Both Tibial and Femoral Sides?

How Do You Determine Tibial Tunnel Position to Optimize Graft Length and Femoral Tunnel Position When Performing an Endoscopic Technique?

Postoperative Questions

How Do You Manage the ACL Patient Following Reconstruction?

Do You Rehab Your Patellar Tendon Autograft and Allograft Patients Differently?

Do You Manage the Patient Differently if a Concurrent Meniscal Repair Was Performed?

How Do You Manage the Patient Who Is Having a Difficult Time Gaining Ex

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